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u.n ;■;n■■■........ .�.. ._...._. - - 1II�IIIII�IIII 500G23'..4 .. <br /> i0l"ZXII Es AMOV N121 <br /> A 50021 7020 1290 0000 8170 2863 �. <br /> 1004 $ 1 6■55 <br /> 80203 R2303S102701-80 <br /> s <br /> 1 <br /> pivision of Reclamation, Mining, & Safety , �� <br /> Dept. of Natural Resources <br /> 1313 Sherman St., Room 215 <br /> Denver, CO 80203Ott <br /> SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> D��`jm�aNaF Od '1 <br /> �Y �+ <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse X 0 Agent <br /> so that we can return the card to you. 0 Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery <br /> or on the front if space permits. <br /> 1. Article Ad'1 <br /> 1,3toi C �, N1� D. <br /> Is If YES,enter Bess different <br /> ivry a dress item 11 p No <br /> A SA�'-'( ( '� <br /> t?c9 1_ c)V kj� L.q�,Kesaj,iztS <br /> Devi4el-, Cc 1?C7;k0S <br /> Il I'III'I I'll ltI Il l I�lI I l l l I�'ll l I��II'll I�II 3. Service Type ❑Priority Mail Express® <br /> 0 Adult Signature ❑Registered MaIIT"' <br /> ❑Adult Signature Restricted Delivery ❑Registered Mall Restricted <br /> 9590 9402 6825 1074 8772 23 o certitteCertifieddrMa l Restricted Delivery o Signature conli natlonTm <br /> ❑Collect on Delivery ❑Signature Confirmation <br /> 2. Article Number(IPansfer from service Well Cp eat M Delivery Restricted Delivery Restricted Delivery <br /> Lured Mail <br /> 7020 1290 0000 8170 2863 ;ur$ed Mail Restricted Delivery <br /> Form 1,July 2020 PSN 7530-02-000-9053 Domestic Return RecelDt <br />